Encephalopathy induced by fleroxacin in a patient with Machado-Joseph disease.

Accession number;99A0264711
Title;Encephalopathy induced by fleroxacin in a patient with Machado-Joseph disease.
Author; KIMURA MASUMI (Fukui Med. Sch.) FUJIYAMA JIRO (Fukui Med. Sch.) NAGAI ATSUKO (Fukui Med. Sch.) HIRAYAMA MIKIO (Fukui Med. Sch.) KURIYAMA MASARU (Fukui Med. Sch.)
Journal Title;Clinical Neurology
Journal Code:Z0689A
ISSN:0009-918X
VOL.38;NO.9;PAGE.846-848(1998)
Figure&Table&Reference;FIG.1, REF.7
Pub. Country;Japan
Language;Japanese
Abstract;Convulsive seizure with unconciousness is an adverse effect of new quinolone antibiotics including fleroxacin. A block of GABA receptor in CNS has been reported as pathomechanism. A 48-year-old female patient with Machado-Joseph disease(MJD) had encephalopathy induced by fleroxacin. She revealed unconsciousness after the administration of fleroxacin(200mg/day) for three days. Electroencephrogram(EEG) showed diffuse slow waves. The administration was discontinued and her consciousness became clear after a day. The abnormal findings on EEG disappeared gradually. The concentrations of fleroxacin were within normal limits in serum and cerebrospinal fluid. The patient with MJD might have a tendency to develop encephalopathy by fleroxacin, because the GABA-ergic nervous system could be involved in MJD. (author abst.)
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